JUSTEN DAKOTA LEAGUE

SAN LUIS OBISPO, CA
NPI1245965888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  41076)
Enumeration Date2022-07-18
Last Update Date2025-01-03
Business Address
JUSTEN DAKOTA LEAGUE LPT
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401-6768
Phone number: 805-439-4890
Mailing Address
JUSTEN DAKOTA LEAGUE LPT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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